Comparison of the Three Sets of Diagnostic Criteria for Vogt-Koyanagi-Harada Disease in Southeast China - A Retrospective Case-Control Study

Ocul Immunol Inflamm. 2024 May;32(4):376-383. doi: 10.1080/09273948.2022.2146592. Epub 2022 Nov 28.

Abstract

Purpose: To compare the utility of the Chinese diagnostic criteria for Vogt-Koyanagi-Harada (VKH) disease (CDCV), the revised diagnostic criteria (RDC) and the classification criteria by SUN (SUN-C).

Methods: Two groups of patients (VKH group and non-VKH group) were assessed in this retrospective case-control study. Sensitivity, specificity and area under receiver operating characteristic curve (AUC) were evaluated among these criteria.

Results: 258 patients were included after propensity score matching. The sensitivities were 92.2% in CDCV, 66.7% in RDC, and 54.3% in SUN-C. In different disease stages (early and late), similar sensitivity results were observed. The specificities were 96.1% in CDCV, 97.7% in RDC, and 99.2% in SUN-C. The AUCs were 0.942 in CDCV, 0.822 in RDC and 0.767 in SUN-C.

Conclusion: A higher sensitivity value and larger AUC in CDCV were found. CDCV are highly useful in the diagnosis and classification of VKH disease in Chinese patients.

Keywords: AUC; Vogt–Koyanagi–Harada disease; classification criteria; diagnostic criteria; sensitivity; specificity.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Area Under Curve
  • Case-Control Studies
  • China / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • ROC Curve*
  • Retrospective Studies
  • Sensitivity and Specificity
  • Uveomeningoencephalitic Syndrome* / diagnosis
  • Uveomeningoencephalitic Syndrome* / epidemiology
  • Young Adult